A mid-face lift focuses on lifting the central portion of the face from the lower eyelids through the central cheek area to the nasolabial creases (creases between the upper lip and cheek area at the side of the mouth). It creates a lifted, more youthful appearance of the central face in an area that is less targeted by a standard facelift and more extensively than that targeted by a lower blepharoplasty (eyelid lift) alone.
A mid-face lift is usually under general anaesthesia (while you are asleep). The incision runs just under the lower eyelid eyelash line (similar to a lower blepharoplasty). The tissue is then released as far down as needed into the cheek area, lifted and then secured in a more youthful position, thus restoring and rejuvenating the central facial appearance.
Loose or extra skin can be removed from the lower eyelid and any bulging fat repostitioned or removed as indicated from the lower eyelid. Ms Nugent tries to reposition the fat whenever possible rather than removing it as this usually creates a more natural and rejuvenated appearance. This is an excellent procedure for restoring and rejuvenating the mid-face and lower eyelids. It can be combined with other facial rejuvenation surgery such as upper eyelid lifts (blepharoplasty) as well.
There will be some swelling and bruising afterwards, but most of this will settle during the first two weeks after surgery. Your stitches will need to be removed the week after surgery.
As with any surgical procedure, there are some potential risks associated with mid-face lifting. It is common to have some numbness of the cheek and maybe the upper lip after this type of surgery. It is usually temporary and gradually resolves. Scars generally heal very well in this area but some individuals heal with more prominent scars and they will require more extensive postoperative scar management. Small amounts of bleeding can occur and occasionally this necessitates a return to theatre to stop the bleeding. Wound infections are uncommon in this area but are treated with antibiotics when needed. Rarely inflammation of the eye or weakness of one of the eye muscles occurs causing double vision – this is usually temporary and resolves. The most serious albeit rare complication is when bleeding occurs that tracks back under the eye. This risks blindness and needs to be treated urgently.